KAILI FAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092296

License Status

ACTIVE

Business

First Name

KAILI

Last Name

FAN

Suffix

Business Name

KAILI FAN MD

Original Issue Date

01/09/1996

Effective Date

07/14/2023

Expiration Date

07/31/2026

City

DAYTON

State

Zip

45419

County

OHIO

Ever Disciplined

LastModifiedDate

07/14/2023